1. Update on the Regional NHS Genomic Medicine Centres
HEE South West Annual Stakeholder event
Taunton
Marie Taylor SWGMC and Mel Watson WEGMC
1st March 2017

2. Update What is Genomics? The 100 000 Genome Project
Genomics Education Programme (HEE) and National progress
Local activity – South West and West of England

3. Study of Whole Genome and how it works
Includes the technologies and interpretation
Slide courtesy of NHS England

4. Includes Cancer and Rare Diseases

5. 100,000 Whole Genome Sequences with linked data set by end 2017
Genome Project Aims & Objectives
10 Dec 2012: David Cameron announces that the Government intends to achieve a paradigm shift in the way that genomics are used across the NHS and commits the UK to sequencing 100,000 whole human genomes from patients with rare/inherited diseases and certain common cancers by the end of 2017
100,000 Whole Genome Sequences with linked data set by end 2017
Increased discovery of pathogenic variants leading to new treatments, devices and diagnostics
Accelerate uptake with advanced genomic medicine practice integrated into the NHS
Increase public understanding and support for genomic medicine
Stimulate and advance UK life sciences industry and commercial activity in genomics

6. Genomics Education Programme

7. NHS Genomic Medicine Centres
NHS Genomic Medicine Centres (NHS GMCs) : mapped against AHSN boundaries
NHS GMCs work in partnership with academia, patients and industry through the AHSNs 

8. To ensure that the health and care workforce of today and tomorrow has the right numbers, skills, values and behaviours to harness the potential of genomic medicine through the mainstream adoption & use of genomic technologies & practice

9. HEE Genomics Education Programme
Strategy and Aims
Embed genomics into education: upskilling current & future healthcare workforce
Whole-genome sequencing (WGS) & functional genomics integrated into mainstream care - benefit patients & the public
Build capacity & capability – addressing prospective needs with a world- leading response to the genomic medicine revolution
Building upon previous workforce investment in the scientific workforce and genetics
Ensuring legacy of the 100,000 Genomes Project is embedded in the healthcare system & wider economic contribution
Key question
Slide courtesy of Dr Anneke Seller

10. Interventions to support workforce transformation at all levels and across all settings
Highly
Specialised
workforce
clinical and laboratory genetics, molecular pathology, molecular haematology, bioinformatics
Specialist clinical workforce
Eg cancer surgery & medicine, cardiovascular, diabetes, neurology and other specialist teams
Broader clinical workforce
general practice, all healthcare professionals
Non-clinical workforce & society
including managers & commissioners, patients and public
Specialist curricula, workforce capacity, targeted training
Broader-based training & education
Access education, just-in-time resources, awareness raising
For workforce transformation to be effective we need to reach the full workforce. We also need to make sure our resources are appropriate to the different areas of the workforce. We are therefore aligning our work to this pyramid structure

11. Genomics knowledge into action
Incorporating relevant genomic medicine at all stages of the education continuum
The GEP continuum of genomic medicine education
Genomics knowledge into action
Core genomics concepts
Real clinical examples to introduce major concepts; explain relevance to patient care
Contextualising the genomics concepts
Expand appropriate underlying concepts, tailored for specialty/role
Genomics in clinical practice
Competences appropriate to role undertaken; ‘as required’ information
*Pre-registration
Post-registration
Workplace
*This also covers the training undertaken by non-registered NHS staff e.g. Nursing Associates

12. Highlights and Exemplars – Jan 2017
The Consent Conversation
Preliminary evaluation
Self rated: After completing the course 95%* felt they had an appropriate level of knowledge to take consent (self-rated). 92%* felt ready to take consent * n=168
Future Learn – MOOC
‘’This course has taught me a lot and helped to secure a lot of the terms and processes in my head by putting them into context –something which is not possible to achieve just by reading scientific papers’’

14. Genomic Champions spreading the word
Training and Learning Logs submitted each month

15. Awareness Raising and Training
2016
Exome Sequencing day
Rare Disease Consent Training Session
Cancer Launch Day
Training Needs Assessment
2017
Webinar for clinical teams (cancer)
Consent Training Session (cancer)
Webinar for pathology (cancer)
Exome Sequencing day
Cancer Research UK event for SW GPs
Exome Sequencing day, September 2016 – attended by 74 delegates
Cancer Launch Day, November 2016 – attended by 70 people
Cancer Consent Training day, 21st February 2017 – bookings being taken
SW Webinar for Clinical teams (Cancer) 23rd February
SW Webinar Pathology (Cancer) 2nd March
Exome Sequencing day, March 2017 – fully booked
TNA responses (81 from SW GMC area )
Cancer Research UK Evening for GPs in the SW – 14th March 2017

16. Education and Training
HEE Funding
51 Full/PT Students
Diploma
22 PG Cert
26 CPD
Plus 7 self funding Students
Students attending the Counselling Course

17. September intake place of work (HEE funded)

18. West of England Genomics Medicine Centre – our geography

19. Clinical engagement and networking
Clinical engagement activity snapshot
Oct- Dec 2016
34 engagement events
>1000 audience members
Presentations at National Conferences
Roadshows at LDPs
Grand Rounds at local providers
Laboratory staff updates
Lectures to local students
Multidisciplinary clinical teams
Targeted Informatics training
Targeted consent training
Co-delivery Rare & Common Disorders Module University of Exeter & UWE (Feb 2017). Cancer Module March 2017

20. Genomic Champions

21. Workforce Development –Achievements in Q3
‘Box-Ed’ targeted engagement with schools progressed to pilot stage (UWE & HEE funded)
@Bristol plans to develop
community engagement package
Competency framework and Targeted training packages in development
Informatics
Consenting
Training needs analysis disseminated – closed 28th February

22. Patient Public involvement
Attend rare disease and cancer clinical oversight groups
Support to ‘get genomics on the agenda’ of public meetings
Contribution to pathway review meetings

23. The workforce
Transformation in Medicine – requires Transformation in workforce
Multi-professional and patient perspective
Strengthening the nursing and midwifery contribution to the genomes work
Primary Care
Healthcare Science Training framework
Cross organisational boundaries
A Commissioned service – competent workforce
The legacy?

24. Further Information http://swgmc.org/ http://www.wegmc.org/